Nokea
Based on the nurse's understanding of decongestants, the nurse would expect to administer this drug cautiously to a client with which of the following? Select all that apply.
- A. Diabetes
- B. Glaucoma
- C. Hypotension
- D. Hypothyroidism
- E. Arthritis
Correct Answer: A,B
Rationale: The nurse should administer decongestants cautiously to clients with diabetes, heart disease, hypertension, hyperthyroidism, benign prostatic hypertrophy, and glaucoma. These clients should contact their primary health care provider before taking over-the-counter decongestants.
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A client is prescribed an antitussive for home use. Which of the following should a nurse include in the client's teaching plan? Select all that apply.
- A. Decreasing fluid intake during treatment with an antitussive
- B. Encouraging the use of sedatives during treatment
- C. Drinking fluids at least 30 minutes after taking a lozenge form
- D. Swallowing oral antitussive capsules whole
- E. Avoiding respiratory irritants during antitussive treatment
Correct Answer: D,E
Rationale: A client's antitussive teaching plan should include the following instructions, do not exceed recommended dose; avoid respiratory irritants; drink plenty of fluids if not contraindicated; swallow oral capsules whole; avoid drinking fluids for 30 minutes after taking a lozenge; do not use alcohol or other CNS depressants while being treated with antitussives; and contact the physician if cough is not relieved or becomes worse or is accompanied by chills, fever, chest pain, or sputum production.
Before administering an antihistamine to a client, which of the following would the nurse include in the preadministration assessment? Select all that apply.
- A. Asking about symptoms
- B. Checking visual acuity
- C. Asking about prescription medications
- D. Auscultating bowel sounds
- E. Auscultating heart sounds
Correct Answer: A,C
Rationale: The preadministration assessment for clients receiving antihistamines depends on the reason for use but should at the least include asking about symptoms of the involved areas and asking about prescription medications the client is taking.
Before administering an antitussive to a client, which of the following would the nurse assess? Select all that apply.
- A. Temperature
- B. Sputum presence
- C. Type of cough
- D. Bowel sounds
- E. Heart sounds
Correct Answer: A,B,C
Rationale: Vital signs, type of cough, presence of sputum, color and amount of sputum, home remedies used, and actions taken should be assessed prior to initiation of an antitussive. Bowel and heart sounds are not part of the preadministration assessment.
After teaching a group of nursing students about antihistamines, the instructor determines that the teaching was successful when the students identify which of the following as less sedating? Select all that apply.
- A. Loratadine (Claritin)
- B. Fexofenadine (Allegra)
- C. Cetirizine (Zyrtec)
- D. Brompheniramine (Lodrane)
- E. Clemastine (Tavist)
Correct Answer: A,B,C
Rationale: Loratadine, fexofenadine, and cetirizine are considered second-generation antihistamines that are less sedating than first-generation antihistamines (brompheniramine and clemastine).
After teaching a client about his upper respiratory drug therapy, the nurse determines that additional teaching is needed when the client identifies which of the following as a reason to notify his primary health care provider?
- A. Cough changes from nonproductive to productive.
- B. Sputum appears clear.
- C. Sputum increases.
- D. Shortness of breath occurs.
Correct Answer: B
Rationale: The client should notify his primary health care provider if the type of cough changes, sputum changes color or increases, and shortness of breath occurs. Clear sputum is normal.